Need urgent care? 24/7 Mobile & After-Hours Emergency Physiotherapy Call (02) 8111 5633 For life-threatening emergencies, always call 000
NDIS

NDIS Referral Form

You've got a participant who needs physiotherapy, and what you need to know is whether someone will pick the referral up and actually get them seen. Send it through here and we'll come back to you with what we can realistically commit to.

Make an NDIS Referral Call (02) 8111 5633
5.0 average rating on Google
Registered NDIS Provider
SIRA Registered Provider

Who this form is for

Use this form if you're a support coordinator referring a participant, a plan manager sending someone our way, or a participant or family member arranging physiotherapy from a self-managed or plan-managed budget.

Two quick exits, so you're not filling in the wrong thing:

  • Referring someone whose care isn't funded through the NDIS (a GP, specialist or allied health referral), use Make a referral instead.
  • Already a patient here and you just need a time? Book an appointment is faster.

Well Motion Physiotherapy & Allied Health is a registered NDIS provider. How the funding side works, and what a program with us actually looks like, is set out on our NDIS Physiotherapy page.

What to have ready

None of this has to be perfect. Send what you've got and we'll work out the rest with you.

  • The participant's details: name, contact, and the best person to reach if it isn't them.
  • Their plan goals, or the wording from the goals section. That's what the program gets built toward, so it matters more to us than a diagnosis does.
  • The funding arrangement: plan-managed, self-managed or NDIA-managed, and who we invoice. If they're plan-managed, the plan manager's details save a round of emails.
  • Your own contact details if you're coordinating, so we can keep you in the loop on progress and reporting without anyone relaying messages.
  • Anything already written, if it exists: previous reports, scans, a specialist's letter, an old exercise program that didn't stick. Optional, and genuinely useful: it saves the participant retelling their whole story. A GP referral isn't needed to see a physiotherapist.

Send the referral

About 5 minutes5 short steps, then check and send
Saved as you goOn this device, until you send it
Rather talk?Call (02) 8111 5633

About you

So we know who to come back to.

I'm referring as a*
Choose one option
Enter your name
Enter an email like name@example.com
AU +61
Mobile or landline, any formatEnter a phone number we can call

The participant

Who we'll be seeing, and how to reach them.

Enter a first name
Enter a last name
Enter a date of birth
AU +61
Enter a phone number we can call
Where we'd visit, if home visits suitEnter an address
Interpreter needed?*
Choose yes or no

NDIS plan

So we invoice the right way and build toward their goals.

Spaces are fineEnter the NDIS number
How is the plan managed?*
Choose one option
Enter the start date
Enter the end date
Copy the goals wording from the plan if you can: it's what we build the program toward
NDIS plan, reports or letters (optional)

What's needed

So the right person turns up, in the right place.

Services needed*
Tick at least one
Where would sessions suit? (optional, tick any)
For example access, mobility, communication, behaviour support, or who will be there

Emergency contact

Next of kin or guardian, just in case.

Enter a name
For example mother, partner, guardianEnter the relationship
AU +61
Enter a phone number we can call

Check and send

Have a quick look. Tap Change to fix anything.

Stuck on anything? Call (02) 8111 5633 and say it's an NDIS referral.

What happens after you send it

We'll confirm availability and tell you what we can commit to. A same-week first appointment is usually possible across our four clinics, and if travel is the barrier, we can see the participant at home through mobile physiotherapy or by telehealth.

From there we report against the goals in the plan rather than against session counts, in language a plan reviewer can use.

If we're not the right fit (wrong location, wrong clinical need, wrong timeframe), we'll tell you quickly rather than accept a referral we can't service properly. You'd rather know this week than in a month.

If you'd rather talk it through first

Call (02) 8111 5633, one number for all four clinics, and say it's an NDIS referral. Hours differ by clinic and are listed on our clinic locations page. For anything that isn't a referral, our contact page has the rest.